Erschienen in:
29.01.2022 | Review Article
Frozen elephant trunk in acute type A aortic dissections: frontiers and challenges
verfasst von:
Mohammed Idhrees, Bashi Velayudhan
Erschienen in:
Indian Journal of Thoracic and Cardiovascular Surgery
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Sonderheft 1/2022
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Abstract
Acute type A aortic dissection (ATAAD), a surgical emergency, has high mortality and morbidity. More than half of the patients die within 2 weeks and the 30-day mortality is 90%. Frozen elephant trunk in ATAAD addresses the primary and secondary goals — resection of the primary tear in the ascending aorta and promoting remodelling in the downstream aorta. Though the literature supports this fact, in reality these literatures emerge from high-volume centres. But in the “real world” most of the ATAAD are operated on in the low-volume centres. Furthermore, in India, there are unique challenges including the financial burden, transport, emergent availability of the hybrid prosthesis and aortic supercentres.